Note: Fields with no data or with a value of "Unknown" will not be displayed on the print out.
Project ID: 1000402 DEA: 11430384 EFIS: 1118000114
QA Service Level: 1
DIST-CO-RTE-PM: 11-SD-805-23.7/28.5
Work Description: REPLACE DRAINAGE, CONCRETE PAVEMENT, AND MODIFY ELECTRICAL SYSTEMS.
Location Description: SAN DIEGO COUNTY IN SAN DIEGO FROM 0.1 MILE NORTH OF ROUTE 805/52 SEPARATION TO ROUTE 5/805 SEPARATION
Contractor Name: HAZARD CONSTRUCTION ENGR, LLC
Contractor Address: 10529 VINE STREET, LAKESIDE, CA 92040
Resident Engineer: Karl Hartline Structure Rep.: Unknown
DIME Sample ID: 2025-11-17-4
TL Number from the TL Form:
Sample Submitted By Organization: CT HQ - QASI Los Angeles Field Office
Sample Organization Contact: (858) 285-5797
Type of Sample: Quality Assurance
Type of Material: SMTL TM3 - Fastener Assembly
Sample Taken Date: 11/17/2025
Date that the sample was received by the laboratory/organization performing the testing: 11/20/2025
The quantity of what the sample constitutes: 25 washers
A brief description of the sample: 3/4" F436 HDG wahsers
From where was the sample collected: Distributor
Laboratory sample identification:
Structure unique identifier:
Structure name:
The fabricator/manufacturer/facility name: Ababa Bolt
Rocap Number(s): N/A
Heat Number(s): 22911292
Nut Mfg. Lot Number(s):
Washer Mfg. Lot Number(s): GTR23538546C07
Bolt Specification: N/A
Bolt Length(s):
Nut Specification: N/A
Washer Specification: F436
Finish: ASTM A153/F2329
Diameter/Size: 3/4"
Bolt Mfg. Lot Number:
Rocap Test Requirement(s):
Lubricant Requirements(s):
Washer Inner Diameter(s):
DIME Test ID: 2025-11-17-4-1
Test Method: ASTM B499-09r21: Standard Test Method for Measurement of Coating Thicknesses by the Magnetic Method: Nonmagnetic Coatings on Magnetic Basis Metals (Coating)
Verified Date: 12/09/2025
Date Tested: 12/01/2025
Submitted By Organization: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
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Sample No.
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1A
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Rocap Number
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no data
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|
Heat Number(s)
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no data
|
|
Mfg. Lot Number
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GTR23538546C07
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
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Size
|
0.75 in
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Bolt Length
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no data in
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Measurement Average
|
1.9 mils
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DIME Test ID: 2025-11-17-4-2
Test Method: ASTM E18-20: Standard Test Methods for Rockwell Hardness of Metallic Materials (Hardness)
Verified Date: 12/09/2025
Date Tested: 12/01/2025
Submitted By Organization: Kleinfelder - Rancho Cordova
Organization Address: 3130 Kilgore Road,
Organization City: Rancho Cordova
Organization State: CA
Organization Zipcode: 95670
Organization Email: mmlee@kleinfelder.com
Organization Phone: (916) 308-3701
General Comments for this Test:
Test Result Compliance:
Additional Comments When Verified:
|
Sample No.
|
1A
|
|
Rocap Number
|
no data
|
|
Heat Number(s)
|
no data
|
|
Mfg. Lot Number
|
GTR23538546C07
|
|
Finish Coating
|
ASTM F2329 - Hot Dip
|
|
Product Markings
|
no data
|
|
Size
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0.75 in
|
|
Bolt Length
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no data in
|
|
Hardness Reading Scale
|
C Scale
|
|
Hardness Reading Average
|
40
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Spacing
|
Ok
|
